Name: | Optometric Care, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 11 Dec 1995 (29 years ago) |
Date of Dissolution: | 01 Feb 2008 (17 years ago) |
Date of Status Change: | 01 Feb 2008 (17 years ago) |
Identification Number: | 000087190 |
ZIP code: | 02914 |
County: | Providence County |
Principal Address: | 1925 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914-, USA |
Purpose: | PRACTICING OPTOMETRY. |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427007731 | 2006-05-06 | 2020-08-22 | 2921 ERIE BLVD EAST, OPTOMETRIC CARE INC, SYRACUSE, NY, 13224, US | 1400 OAKLAWN AVE, CRANSTON, RI, 02920, US | |||||||||||||||||||||||||
|
Phone | +1 315-446-3145 |
Fax | 3154457675 |
Phone | +1 401-463-6696 |
Fax | 4014635913 |
Authorized person
Name | MR. ALERINO M IACOBBO |
Role | PRESIDENT |
Phone | 3154463145 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | OC24941 |
State | RI |
Name | Role | Address |
---|---|---|
PRENTICE-HALL CORP SYSTEM | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
Name | Role | Address |
---|---|---|
ALERINO M IACOBBO O.D | PRESIDENT | 1925 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914- USA |
Number | Name | File Date |
---|---|---|
200806389060 | Articles of Dissolution | 2008-02-01 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State